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The R-Word

Lene  Andersen
Lene  Andersen
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Lene Andersen is wondering how to clone herself

Lene Andersen is a writer and photographer living in Toronto,...

Lene Andersen

Wednesday, September 23, 2009
View All of Lene Andersen's Posts
"Are you in remission?"   I cannot answer. My throat is closed, the words caught somewhere deep within. I can't even answer the question in writing, instead starting the sentence and then deleting, starting another one, phrased slightly differently and delete that, too, before I even get to th...
  1. The R Word
    knittingyoyo
    Wednesday, September 23, 2009 at 10:05 AM

    Yes, yes, a thousand times yes. I agree completely with everything you just said.

    Reply
    re: The R Word
    Lene Andersen
    Wednesday, September 23, 2009 at 10:27 AM

    I'm in good company then. Smile

     

    (seriously, knowing that I'm not the only one is a huge relief)

    Reply
    re: re: The R Word
    knittingyoyo
    Wednesday, September 23, 2009 at 10:35 AM

    I agree. It is nice to know that we are not alone. In fact, I was having some of the same feelings today and was going to blog about them. So I linked this post.

    Reply
  2. I'm there ....
    Ellen
    Wednesday, September 23, 2009 at 11:04 AM

    Have found out that my meds were working TOO well, causing other problems, and I need to cut back.  ( Or is it just a "side effect"? )

     

    Are they working too well BECAUSE I'm remission?  How would I know?

     

    If I cut back, ..... how far?  That's the 64-thousand-dollar question ... what is there is no happy medium?  What if - I just can't take them anymore?  

     

    I've already given up Celebrex - COMPLETELY.   Now I've got more aches and pains but - my stomach pain went away.  Now - Prilosec is giving me muscle/neck/nerve-whatever spasms. Do I risk esophageal cancer if I stop?  Well, I can't stop entirely ... but I'm down to 2 or 3 a week. 

     

    I've also cut back on Enbrel - this is thet 7th day since.  Am I commiting emotional and physical suicide? Or should I just wait and see... if the RA comes "roaring back" as my rheumy as always said?

     

    Will the couple of semi-healed places on my skin finally heal?  Or will I have more joint damage while I'm figuring this all out.  (Ha!  Figure WHAT out!)

     

    Hey, Lene, I'm there ....

     

    Goood luck to y'all out there!

     

     

    Reply
    re: I'm there ....
    Lene Andersen
    Wednesday, September 23, 2009 at 11:20 AM

    Oh, the endless balancing, considering, cutting slightly back, raising something else slightly, teetering on the tightrope - I'm telling you, if anyone got paid to do this dance, they'd receive a massive salary.

    Reply
    re: re: I'm there ....
    Ellen
    Wednesday, September 23, 2009 at 11:39 AM

    dancing in the dark ... for free!   Double my salary - still free!

    Reply
  3. RA and Mind Games
    Anonymous
    Wednesday, September 23, 2009 at 09:29 PM

    I'm on Remicade. I have an infusion every four weeks.  I feel pretty "normal" a day after the infusion.  You think that would thrill me but I know it's only good for about 3 weeks and an extra five to six days.  Usually what happens is 72 to 48 hours before the next infusion the "r" word just cuts out.  If I've over done it over the past 3 weeks and I'm in that "RA what's that?" mode, I pay dearly.  Of course if I'm cautious it isn't much better.  Pain and swelling is pain and swelling.  In the Monopoly game of life I feel like I'm always pulling the "go to jail" card.  I don't want to get greedy, I don't need "the Boardwalk" card but "pass go and collect $200 dollars" would be great every once in awhile.

    Reply
    re: RA and Mind Games
    Lene Andersen
    Thursday, September 24, 2009 at 01:05 PM

    Have you talked to your doctor about increasing the dose or changing the infusion schedule?  it's my impression that some people metabolize medication faster than others - for instance, when I first started Humira three years ago, the recommended schedule was a dose every two weeks. However, I need to do it 9-10 days or the symptoms come back, so my rheumatologist basically told me to play with the dose until I found something that worked for me. I don't know if you can do the same with Remicade, but it can't hurt to ask

    Reply
  4. you nailed it
    Sara Nash
    Thursday, September 24, 2009 at 09:59 AM

    I am completely with you!!!!  The 'R' word is verboten.  The part about how you begin to tentatively expand your life when RA is being managed really hit home, and how it then means you have more to lose.  I think about that a lot now with all the recent changes in my life...but am hoping for the best and trying not to operate out of fear! It's the best we can do, right?  So good to know I am not alone in this crazy cycle, though.   

    Reply
    re: you nailed it
    Lene Andersen
    Thursday, September 24, 2009 at 12:24 PM

    It's folie a many!  If there are this many of us, does it mean we're not crazy? Smile

    Reply
  5. Remission after infusion!
    No
    Thursday, September 24, 2009 at 11:41 AM

    My wife is 32 years of age and had this problem since last 14 years. She has had high and low of this disease. In 2008 she was advised after acute RA/NO Remission, to have two infusions. After infusion she was in pretty good shape for about one after infusion after then she started having the problem. Now she is again depress that what the use of this infusion when I agian develop the same problem though severaty is not that much.

     

    Please share any member their experience who had Rituxamb or Mebthra infusion.

     

    Regards

     

    SARAZA 

    Reply
    re: Remission after infusion!
    Lene Andersen
    Thursday, September 24, 2009 at 12:55 PM

    I don't know too much about Rituxan, but I do know that results vary - it doesn't work for some people, it works beautifully for others and some need to go back for additional infusions. treating RA is difficult - it is a chronic condition (i.e., you have it for life) and as far as I know, Rituxan is the only drug that has shown promise for a possible long-term remission without needing regular doses of the drug.  The good news is that your wife's RA came back in a milder version

     

    I would recommend that you or your wife ask the question again in a SharePost - it will get more traffic than the comments of this post and you will be more likely to hear feedback from other people who have been on Rituxan.  As well, I'd recommend that your wife sees her rheumatologist for discussion of future options.

    Reply
  6. Sulfasalazine-my savior, or a temporary illusion?
    StarHill13
    Thursday, September 24, 2009 at 08:38 PM

    I was on Plaquenil for a year, and kept complaining to my rheumatolgist that I was miserable. I could not walk more than 3 blocks without serious pain in my hip, and I was crawling up stairs. So, she finally changed me to sulfasalazine. I can now walk up stairs with no pain, and one day I actually walked 3 miles! I have also lost 23 pounds on a vegetarian, low-sugar diet (mostly vegan). So, I can't say whether it's purely the meds, or the weight loss, or the diet change that made the most difference. I know a high-sugar diet can cause a lot of inflammation.

    Sometimes now I forget that I have RA. I feel completely normal. Other times my shoulder aches or pops out of place, or I have an aching in my big toe, or my hands hurt like hell when I try to grate zucchini manually (I really need a food processor).

    It's the little things that remind me that I'll always be sick- it will never go away. Of course, the huge improvement gives me hope for the future that nothing has to change, and I can accomplish all of my goals, and I push the spectre of being crippled to the back of my mind. Then, when that little flare kicks in, it reminds me that I can't forget- it's something I''l have to always live with, and I need to make alternate plans for the future, when I'm not so mobile.

    This disease just simply sucks, but I try to remind myself when I see someone in a wheelchair, or someone who has MS, or cancer, or whatever, that it could be worse. For now, I'm just going to do the best I can with what I have. I'm even buying a tradmill. Now that I can walk most of the time without pain, I think it's the right time to try to lose more weight to lessen even more of the stress on my knees.

    One day at a time, we can make the most of what we still can do. That's the internal strength that RA can never take away from us. 

    Reply
    re: Sulfasalazine-my savior, or a temporary illusion?
    Lene Andersen
    Friday, September 25, 2009 at 12:37 PM

    Exactly - I often say that RA gives, as well it takes and one of the things it gives is resilience.  If you can live with this, you can do pretty much anything you set your mind to.

     

    Thanks for the comment!

    Reply
  7. YES!
    tina
    Thursday, September 24, 2009 at 09:08 PM

    I did not realize until I read your post, I have been doing this! I absolutely refuse to use the R word and even refuse to admit when I am having a "great" day.  I always say "Oh, I'm doing pretty good" or "Yes, the meds are working...so far".  It's like I'm afraid to jinx myself!

     

    So glad that I'm not alone...!!!

    Reply
    re: YES!
    Lene Andersen
    Friday, September 25, 2009 at 12:38 PM

    Absolutely - it's all about not jinxing yourself. Not that I'm superstitious or anything (much), but there's no need to tempt fate, is there? Smile

    Reply
  8. Exactly!!
    Nan
    Friday, September 25, 2009 at 06:47 AM

    I find myself constantly knocking on wood in case the demon is listening to me make plans. My friends and family play along and say loudly, as if the demon may be listening, "You are in no way going shopping with us this weekend, are you" or " There is a barbeque this weekend in which we are sure you want no part of, right".

    It's like being superstitious, And I am in no way going fishing this weekend either!!!!

    Reply
    re: Exactly!!
    Lene Andersen
    Friday, September 25, 2009 at 12:40 PM

    I love how you've made "the demon" a part of the family, so to speak.  And I hope you have fun when you don't go fishing this weekend.  Smile

    Reply
  9. answer to Are you in remission
    Letty Ryan
    Saturday, September 26, 2009 at 10:29 AM

    Does it matter if you are in remission? I have been sick for so long(since 2005) I'm not sure I would know what remission is. I've been trying to get SSI disability for severe degenerative disc disease, Fibromyalgia and RA and my appeal was turned down for the 3rd time. This judge feels that I should sit, stand and walk at least 6 hours a day and be able to lift 10lbs frequently and 20lbs occasionally. But every doctor I see tells me don't even try it because you're only going to feel worse. Remission...what is that? Can anyone enlighten me please?

    Reply
    re: answer to Are you in remission
    Lene Andersen
    Saturday, September 26, 2009 at 11:00 AM

    So even with letters from doctors stating you can lift/stand/etc, the judge feels you should?  What? He has a medical degree?  Unbelievable!

     

    Aside from the superstitious part, I don't focus too much on the r-word.  Just live your life, y'know? With and around the disease.

    Reply
    re: re: answer to Are you in remission
    Letty Ryan
    Saturday, September 26, 2009 at 02:53 PM

    Pretty sure he didn't have a medical degree..lol..but this is exhausting...is it worth fighting for rights that you think you should have but some judge says your not worth it...whew..I'm exhausted. I'm off RA meds since a real bad blood result in Feb 09...I'm not sure whats next...some say Enbrel..some say Humira....I feel like a lab rat. Thanks for the reply...It helps knowing I'm not alone

    Reply
    re: re: re: answer to Are you in remission
    Lene Andersen
    Saturday, September 26, 2009 at 03:10 PM

    The biologics have been my miracle drugs - I can highly recommend trying and I hope they'll work well for you.

    Reply
    re: answer to Are you in remission
    Cindy
    Tuesday, September 29, 2009 at 08:02 PM

    Hello Letty,

    If I may ask, How old are you?  I applied for SS at age 49 and to my surprise I received it the first time I applied.  I havebeen told it was probably because I was so near to 50 years old??????  I really focused on self help skills or the thinkgs that I can no longer do for myself andneeded others help on a daily or nearly daily basis.  I have a college degree so I really expected them to deny me the first time around.  If you would like to talk about how I filled out the paperwork sometime just email.  My problem is that I was selfemployed and considered uninsurable even by the state's risk pool.  I no longer have insurance and it is killing me financially.  I would rather have insurance than the monthly check at this point.  I qualify for medicare in june 2010, but I know that won't solve all the problems either.  Hang on to any health insurance you may have and hold on tight.

    Good Luck

    Cindy

    Reply
    re: re: answer to Are you in remission
    Letty Ryan
    Wednesday, September 30, 2009 at 09:09 AM

    Hi Cindy, well I am 49. I had a severe head on collision in 1998, leaving me with a brain injury, whiplash, seperated shoulder and TMJ. The doctor felt the TMJ happened when I sreamed seconds before impact. Iwas in bad shape and started having seizures and fell, dislocating my ankle. The ER doctor didn't want to wait for my surgeon so he tried to relocate my foot/ankle and broke my leg in 2 places and shattered my ankle. I spent months in a wheelchair, focusing on my recovery from that. I applied for SSI then and was denied went to school and received a certificate and well did ok for a few years although the arthirits in my leg/ankle was bad. In 2005 my doctor thought I sprained my back walking/hiking. He had been treating me for months and I was in PT and going to the Chiro twice a week and taking lots of pain medication but nothing was working. In May I would up in the ER and passed out waiting. Hours later when I came to, I was being given injections of Morphine. That didn't work. 10 days later, my miracle showed up and operated on S1-L5. He then told me and my family that I was suffering from Degenerative Disc Disease. For the next 18 months I was sick, seeing specialist thinking that it was my back. Finally a spine specialist told my doctor to test me for Lupus. The test came back positive but months later they said it wasn't Lupus it's RA.

    I've been on several meds since that Jan 07 diagnosis and haven't worked but maybe 48 hours in 40 months. I can't have surgery on my back because of the RA. Once that is under "Control" I might be considered. Whew! 'That's my story, I lived in NJ and moved to NC in August of 06...

    Reply
  10. Untitled Comment
    Brad
    Monday, September 28, 2009 at 02:24 AM

    I can only hope for such a thing. I don't say the R word either. It's been years of pain, and then my dx, and the meds still dont work. I keep changing them and they keep failing me. I too was denied by SSDI, the reason? We accept that you are unable to work now, but you MAY be able to in the next 12 months. I can only hope to be able to walk and function well in the next 3 months. I am very happy for anyone that can reach remission with this disease! I just wish others understood it better. Great post Lene, as usual!

    Reply
    re: Untitled Comment
    Lene Andersen
    Monday, September 28, 2009 at 10:34 AM

    The stories I hear about SSD ought to turn my hair white (I don't know why that hasn't happened yet). The judge clearly knew nothing about this disease and apparently didn't feel like reading over your doctor.'s documentation. It's ridiculous. I'm so sorry.

    Reply
  11. The R-word
    Rena
    Monday, September 28, 2009 at 05:33 PM

         You took the words right out of my mouth!  The R work is one that I hate to even think about, for fear that I will have a flare.  I am constantly worried about the next flare.  They are so awful and painful.  The dread is always in the back of my mind.  So,...when I do get a break, I quietly "tip-toe" through life adding a bit more and a bit more when I feel brave. 

         Once in a great while, I through caution to the wind and just do what I want to do with friends and family, thinking nothing of the price I will pay later.  But,...then the flare comes and I suffer bad.  I guess its just my defiance of RA.  I can't let RA be the boss all the time!

    Reply
    re: The R-word
    Lene Andersen
    Tuesday, September 29, 2009 at 02:01 PM

    Oh yes, the dread.  I wrote a post about that a while back.  And you're right - the RA isn't the boss of me.  I may live with it, accommodate it, but it doesn't get to win.  Well, not all the time anyway.... Smile

    Reply
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